| NPI | 1164673034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 09890) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000429) |
| Enumeration Date | 2008-10-09 |
| Last Update Date | 2020-02-25 |