| NPI | 1467795922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 12161) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 06683) |
| 1041C0700X Social Worker, Clinical (Licence: NC C003015) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904002233) | |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2013-04-03 |