| NPI | 1679787519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 9488) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW7897) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2011-01-20 |