| NPI | 1902109176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904002492) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: PA CW016331) |
| 1041C0700X Social Worker Clinical (Licence: MD 08787) | |
| Enumeration Date | 2010-12-09 |
| Last Update Date | 2014-08-19 |