| NPI | 1699013672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NE 1279) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO csw.09923320) |
| Enumeration Date | 2013-01-25 |
| Last Update Date | 2013-09-09 |