| NPI | 1881074946 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007176) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD G01088) |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |