| NPI | 1235355223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 07869) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904003261) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2011-02-08 |