| NPI | 1407914914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008232) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 277) |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2018-07-28 |