| NPI | 1174777585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 13056) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904006815) |
| Enumeration Date | 2008-11-12 |
| Last Update Date | 2020-09-15 |