| NPI | 1588897706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 10333) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006269) |
| Enumeration Date | 2009-09-04 |
| Last Update Date | 2016-05-16 |