| NPI | 1629218623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 2424) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 008123) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2013-03-06 |