| NPI | 1154851319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904015408) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2023-06-08 |