| NPI | 1568585636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 04524) |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist (Licence: IA 024077) |
| 104100000X Social Worker (Licence: IA 04524) | |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2009-04-14 |