| NPI | 1780628230 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 913-123) |
| Enumeration Date | 2006-06-15 |
| Last Update Date | 2009-12-30 |