| NPI | 1972777423 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007494) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NC P004478) |
| Enumeration Date | 2008-04-16 |
| Last Update Date | 2012-11-21 |