| NPI | 1740298199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 11791) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 05504) |
| 1041C0700X Social Worker, Clinical (Licence: SC 11791) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2016-12-05 |