| NPI | 1700076056 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 1713) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34006027A) |
| Enumeration Date | 2007-08-01 |
| Last Update Date | 2011-02-15 |