| NPI | 1639100837 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 1028) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN 1028) |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2012-05-10 |