| NPI | 1942641642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009363) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 16360) |
| Enumeration Date | 2013-07-10 |
| Last Update Date | 2016-04-25 |