| NPI | 1316377468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 3811) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904006896) |
| Enumeration Date | 2013-11-26 |
| Last Update Date | 2013-12-02 |