| NPI | 1003308727 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904010082) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW9406) |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2018-05-30 |