| NPI | 1902913510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WI 2199-123) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: WI 159-124) |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2007-07-08 |