| NPI | 1487881777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 4525) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM X-06582) |
| Enumeration Date | 2009-06-15 |
| Last Update Date | 2013-09-11 |