| NPI | 1558416917 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 393) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005848) |
| 1041C0700X Social Worker, Clinical (Licence: MA 115731) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2016-03-04 |