| NPI | 1780676825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NE 1863) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 06318) |
| Enumeration Date | 2005-08-16 |
| Last Update Date | 2007-07-08 |