| NPI | 1306066444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904000048) |
| 1041C0700X Social Worker, Clinical (Licence: MD 01187) | |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2007-07-08 |