| NPI | 1184820011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006551) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW8127) |
| Enumeration Date | 2007-06-26 |
| Last Update Date | 2007-07-08 |