| NPI | 1184080582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904013966) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2016-01-14 |
| Last Update Date | 2023-05-23 |