| NPI | 1720041163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006579A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904005231) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2014-01-29 |