| NPI | 1003223991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 10541) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904004522) |
| Enumeration Date | 2014-07-13 |
| Last Update Date | 2023-03-22 |