| NPI | 1831158237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C000932) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC 000932) |
| Enumeration Date | 2006-03-23 |
| Last Update Date | 2012-10-17 |