| NPI | 1457383143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 2188) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC301511) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2010-08-11 |