| NPI | 1750472247 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 08930) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 121464) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2019-09-06 |