| NPI | 1740627298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: IA 008171) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 008171) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2014-03-07 |