| NPI | 1558562942 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 2289) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 2289) |
| 1041S0200X Social Worker, School (Licence: SC 2289) | |
| Enumeration Date | 2007-05-31 |
| Last Update Date | 2014-09-04 |