| NPI | 1851402697 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 904003180) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904003180) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2014-02-26 |