| NPI | 1083113401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010295) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200003525) |
| Enumeration Date | 2018-02-12 |
| Last Update Date | 2024-10-14 |