| NPI | 1255695623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 16206) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 9546) |
| 1041C0700X Social Worker, Clinical (Licence: NC P007196) | |
| Enumeration Date | 2012-06-29 |
| Last Update Date | 2012-06-29 |