| NPI | 1982719035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 6207) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C005526) |
| 1041C0700X Social Worker, Clinical (Licence: SC 9408) | |
| Enumeration Date | 2006-08-20 |
| Last Update Date | 2014-10-27 |