| NPI | 1639372097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 1336) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV AP00941482) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2015-01-05 |