| NPI | 1548419641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010222) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OK 3544) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2018-04-09 |