| NPI | 1235464439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TX 53500) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC04678800) |
| Enumeration Date | 2009-10-06 |
| Last Update Date | 2009-10-06 |