| NPI | 1164773248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20426) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904008007) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2019-05-03 |