| NPI | 1952612160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: AL 2485c) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9905) |
| Enumeration Date | 2010-06-23 |
| Last Update Date | 2014-12-05 |