| NPI | 1033356704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007016) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0710001076) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2023-04-06 |