| NPI | 1740444306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 07020) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC303058) |
| 174400000X Specialist (Licence: MD 14550) | |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2008-07-14 |