| NPI | 1558554394 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006635) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD G12703) |
| Enumeration Date | 2007-08-24 |
| Last Update Date | 2010-07-29 |