| NPI | 1033214754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904005717) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 10649) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2018-12-20 |