| NPI | 1801824636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 3007) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1192) |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2007-07-08 |