| NPI | 1639428360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 6317) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C008894) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2016-01-05 |