| NPI | 1972787661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 4539) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MS C5805) |
| Enumeration Date | 2007-12-18 |
| Last Update Date | 2008-06-20 |