| NPI | 1902065782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L5598) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LCSW-11424) |
| Enumeration Date | 2008-06-05 |
| Last Update Date | 2014-04-04 |