| NPI | 1245634799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 149018957) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 19802) |
| Enumeration Date | 2014-10-13 |
| Last Update Date | 2017-01-10 |