| NPI | 1700080033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY 201) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-29824) |
| Enumeration Date | 2007-06-12 |
| Last Update Date | 2011-11-08 |