| NPI | 1295921997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 9490) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006772) |
| 1041C0700X Social Worker, Clinical (Licence: MD 13609) | |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2017-04-07 |