| NPI | 1184321267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014483) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 09992) |
| Enumeration Date | 2023-02-09 |
| Last Update Date | 2024-06-25 |