| NPI | 1285170225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009334) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 13240) |
| Enumeration Date | 2017-01-15 |
| Last Update Date | 2017-01-15 |