| NPI | 1356548309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007179) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 4754) |
| Enumeration Date | 2007-07-02 |
| Last Update Date | 2012-05-10 |