| NPI | 1538520671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV BP00944756) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 20295) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |