| NPI | 1720393952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV CP00942728) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV BP00942728) |
| Enumeration Date | 2010-08-12 |
| Last Update Date | 2020-06-02 |