| NPI | 1477947265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009686) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904008880) |
| Enumeration Date | 2015-03-19 |
| Last Update Date | 2016-02-03 |