| NPI | 1689730236 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17798) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA LCS21250) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50079093) | |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2012-12-06 |