| NPI | 1760808455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008647) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34005653A) |
| 1041C0700X Social Worker, Clinical (Licence: SC 10639) | |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2014-03-05 |