| NPI | 1417360348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00944802) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2018-04-09 |