| NPI | 1649486358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MT 5850) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34002790A) |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2014-02-24 |