| NPI | 1508185141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006209A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 10805) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2013-04-30 |