| NPI | 1598985897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 00668) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC300994) |
| Enumeration Date | 2007-04-27 |
| Last Update Date | 2007-07-08 |