| NPI | 1730328766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007067) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 14604) |
| Enumeration Date | 2009-02-15 |
| Last Update Date | 2018-03-17 |