| NPI | 1891904710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 6343) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WI 1973) |
| Enumeration Date | 2007-05-21 |
| Last Update Date | 2007-07-08 |