| NPI | 1598788747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C006138) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904001497) |
| Enumeration Date | 2006-07-26 |
| Last Update Date | 2009-02-13 |