| NPI | 1245400464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 13385) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC303532) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |