| NPI | 1689962847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PA cw018065) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 991609) |
| Enumeration Date | 2011-07-20 |
| Last Update Date | 2015-06-17 |