| NPI | 1063784320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009029) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 007853) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2016-03-30 |