| NPI | 1639354236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 2038) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SD 2291) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2012-02-02 |