| NPI | 1639496862 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C007443) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34006820A) |
| Enumeration Date | 2010-04-28 |
| Last Update Date | 2016-03-08 |