| NPI | 1164071775 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C8683) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904010680) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2020-07-31 |