| NPI | 1679062749 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: VA PPS-0605234)  | 
| Additional Taxonomies | 1041S0200X Social Worker, School | 
| Enumeration Date | 2018-05-04 | 
| Last Update Date | 2018-05-04 |