| NPI | 1194024794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008515) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 5564) |
| 1041C0700X Social Worker, Clinical (Licence: AL 2241C) | |
| Enumeration Date | 2011-03-22 |
| Last Update Date | 2024-07-18 |