| NPI | 1003475922 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014701) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2019-06-13 |
| Last Update Date | 2023-04-19 |