| NPI | 1679618854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 0934-2141C) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AL 2141C) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2014-06-30 |