| NPI | 1023358595 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009633) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: 0904009633) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2019-12-09 |