| NPI | 1700800174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006873) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 23424) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2008-11-18 |