| NPI | 1134119159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003023) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW003629) |
| Enumeration Date | 2005-10-21 |
| Last Update Date | 2009-04-03 |