| NPI | 1184097560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904002836) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 08407) |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2021-06-03 |