| NPI | 1801090378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC c006701) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904006583) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2012-02-17 |