| NPI | 1700120094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009024) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P007412) |
| Enumeration Date | 2012-11-27 |
| Last Update Date | 2015-10-12 |