| NPI | 1154586360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904009659) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C006039) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2021-06-21 |