| NPI | 1780999169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MA 217566) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-07476) |
| Enumeration Date | 2010-08-10 |
| Last Update Date | 2012-04-10 |