| NPI | 1033498704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 06740) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 904002804) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2011-08-11 |