| NPI | 1134246184 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 13816) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 13721) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2016-10-18 |