| NPI | 1356545107 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OR L4238) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34005234A) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2008-08-28 |