| NPI | 1861571168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 0000005716) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 005197) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2014-03-28 |