| NPI | 1235487059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18380) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MD 18380) |
| 104100000X Social Worker (Licence: MD 18380) | |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2015-09-02 |