| NPI | 1639406069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker School (Licence: SC 9695) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: SC 9695) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2013-06-10 |