| NPI | 1841272382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 15827) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C004055) |
| Enumeration Date | 2005-11-18 |
| Last Update Date | 2014-12-02 |