| NPI | 1356692388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904005346) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0812000410) |
| Enumeration Date | 2012-10-01 |
| Last Update Date | 2012-10-01 |