| NPI | 1598715617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 2527) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C004031) |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2015-06-17 |