| NPI | 1316067655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 094001085) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C003077) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2008-03-20 |