| NPI | 1124091210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 581 LCSW) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-31504) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2011-10-19 |