| NPI | 1841437415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008734) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 3584) |
| Enumeration Date | 2009-01-19 |
| Last Update Date | 2014-11-04 |