| NPI | 1952535858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C008722) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P004454) |
| Enumeration Date | 2009-05-06 |
| Last Update Date | 2014-02-24 |