| NPI | 1073719001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34005948A) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IL 149003721) |
| 1041C0700X Social Worker Clinical (Licence: IL 149003721) | |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2012-02-15 |