| NPI | 1306001763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 9406) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904001878) |
| Enumeration Date | 2008-07-25 |
| Last Update Date | 2010-12-28 |