| NPI | 1447492632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009469) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV DP00945238) |
| Enumeration Date | 2009-04-02 |
| Last Update Date | 2019-08-29 |