| NPI | 1174796916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-3386) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904008652) |
| Enumeration Date | 2008-04-11 |
| Last Update Date | 2016-08-22 |