| NPI | 1891947255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CO 2108) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 215249) |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2012-08-28 |