| NPI | 1063126951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 0904016713) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904016713) | |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2024-04-19 |