| NPI | 1033557053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008471) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 16974) |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2014-01-23 |