| NPI | 1265699417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS 8738) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: AR 3123-C) | |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2016-11-15 |