| NPI | 1629229158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS M7695) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: LA 9796) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2010-10-08 |