| NPI | 1588681670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C002866) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ME ME295803) |
| 1041C0700X Social Worker, Clinical (Licence: NY RO23065-1) | |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2007-07-08 |