| NPI | 1134427479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 11647) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC3000822) |
| Enumeration Date | 2011-03-10 |
| Last Update Date | 2011-03-10 |