| NPI | 1093366908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015853) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW005947) |
| Enumeration Date | 2019-09-23 |
| Last Update Date | 2023-10-23 |