| NPI | 1093238768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011522) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904012758) |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2022-10-27 |