| NPI | 1952645210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14623) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904006842) |
| Enumeration Date | 2012-11-26 |
| Last Update Date | 2018-02-08 |