| NPI | 1508036872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17837) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD G12603) |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2015-07-16 |