| NPI | 1548547847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008064) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P005663) |
| Enumeration Date | 2011-11-15 |
| Last Update Date | 2016-03-16 |