| NPI | 1437128915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-24202) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD G08612) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2008-12-18 |