| NPI | 1366631863 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904003092) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 076053) |
| 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000900) | |
| Enumeration Date | 2007-10-20 |
| Last Update Date | 2008-10-21 |