| NPI | 1740426436 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008995) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P004512) |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2014-08-20 |