| NPI | 1821091927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: VA 0812000044) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904004018) |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2007-07-08 |