| NPI | 1437381597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 06201) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD g13101) |
| Enumeration Date | 2009-08-21 |
| Last Update Date | 2016-03-04 |