| NPI | 1992789887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20319) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34001487A) |
| Enumeration Date | 2005-12-04 |
| Last Update Date | 2015-04-14 |