| NPI | 1831270594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW27315) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-1502) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-06-02 |