| NPI | 1457367591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 06800) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 212428) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-11-21 |