| NPI | 1891083283 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 1438) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NE 1575) |
| 1041C0700X Social Worker, Clinical (Licence: NE 4543) | |
| Enumeration Date | 2011-07-19 |
| Last Update Date | 2015-10-06 |