| NPI | 1386700946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008253) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW014382) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2018-05-03 |