| NPI | 1043731805 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904008776) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: 0904008773) |
| Enumeration Date | 2017-07-03 |
| Last Update Date | 2017-07-03 |