| NPI | 1013534502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904005200) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: VA 0904005200) |
| Enumeration Date | 2020-06-30 |
| Last Update Date | 2023-11-22 |