| NPI | 1699900647 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14762) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 2196) |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2010-05-12 |