| NPI | 1629121546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 148 (CMSW)) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 896 (LMHP)) |
| Enumeration Date | 2007-01-22 |
| Last Update Date | 2007-07-08 |