| NPI | 1730359639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008029) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 05895) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2014-03-31 |