| NPI | 1649563313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C008348) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC P006446) |
| Enumeration Date | 2011-05-27 |
| Last Update Date | 2013-06-18 |