| NPI | 1902194053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 10882) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 1640C) |
| Enumeration Date | 2011-07-11 |
| Last Update Date | 2011-07-11 |