| NPI | 1922291202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006558) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P004095) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2010-08-06 |