| NPI | 1053636936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00943472) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2014-12-01 |