| NPI | 1821221714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: SC 9988) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 15111) |
| Enumeration Date | 2009-08-26 |
| Last Update Date | 2013-12-13 |