| NPI | 1114658937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014106) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C015779) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2023-10-20 |