| NPI | 1336275114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 07077) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2018-12-13 |