| NPI | 1164965828 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010677) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 12639) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2019-05-06 |