| NPI | 1992939219 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 36243) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09924548) |
| Enumeration Date | 2009-05-14 |
| Last Update Date | 2017-01-11 |