| NPI | 1891743415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004817) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 3525) |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2013-11-07 |