| NPI | 1982638409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006244) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SD 2352) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2010-01-25 |