| NPI | 1548452741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20241) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 006527) |
| 1041C0700X Social Worker, Clinical (Licence: MA 113627) | |
| 1041C0700X Social Worker, Clinical (Licence: NC C009782) | |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.019080) | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2018-12-05 |