| NPI | 1184190928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 54668) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904016997) |
| Enumeration Date | 2018-10-19 |
| Last Update Date | 2025-01-13 |