| NPI | 1790892701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0001532) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 002629) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2018-03-17 |