| NPI | 1639501042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P009643) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P009463) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2016-04-14 |