| NPI | 1750317673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007647) |
| Additional Taxonomies | 174400000X Specialist (Licence: PR 7899) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2012-03-13 |