| NPI | 1093992927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904005971) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 005747) |
| Enumeration Date | 2008-01-22 |
| Last Update Date | 2008-01-22 |