| NPI | 1942479399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 24) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 6802) |
| Enumeration Date | 2008-02-29 |
| Last Update Date | 2015-05-13 |