| NPI | 1598984833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WV DP00940860) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 10681) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2012-01-06 |