| NPI | 1942324462 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MT 1004) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: CA 27004) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2011-06-01 |