| NPI | 1073503397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904001874) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0710000183) |
| Enumeration Date | 2005-10-27 |
| Last Update Date | 2010-02-24 |