| NPI | 1790805042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD MD08541) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904003253) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2007-07-08 |