| NPI | 1073855201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C5410) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 15864) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |