| NPI | 1710133152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 2529-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AR 2194-M) |
| 104100000X Social Worker (Licence: TX 52158) | |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2010-10-12 |