| NPI | 1790879625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker (Licence: UT 6221757-3502) |
| Enumeration Date | 2006-10-03 |
| Last Update Date | 2010-12-02 |