| NPI | 1326047960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 007394) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 001028) |
| 1041C0700X Social Worker, Clinical (Licence: MA 114406) | |
| Enumeration Date | 2005-07-15 |
| Last Update Date | 2010-08-27 |