| NPI | 1982943411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR M5689) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LMSW-29230) |
| Enumeration Date | 2013-02-04 |
| Last Update Date | 2013-02-04 |