| NPI | 1194044560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: DC LC50081813) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 214514) |
| 1041C0700X Social Worker, Clinical (Licence: MA 114878) | |
| 1041C0700X Social Worker, Clinical (Licence: NH 1478) | |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2018-08-02 |