| NPI | 1871802595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006969) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 24464) |
| Enumeration Date | 2010-09-29 |
| Last Update Date | 2011-10-20 |