| NPI | 1417276486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15568) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C006652) |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2015-01-24 |