| NPI | 1295984623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00942551) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904006207) |
| 1041C0700X Social Worker, Clinical (Licence: MD 13200) | |
| Enumeration Date | 2008-09-10 |
| Last Update Date | 2008-09-10 |