| NPI | 1114586914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904012874) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012868) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2022-04-06 |