| NPI | 1932408853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 3862) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 1395) |
| Enumeration Date | 2011-03-17 |
| Last Update Date | 2011-03-17 |