| NPI | 1194272138 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904013168) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 27742) |
| 1041C0700X Social Worker Clinical (Licence: NY 089439) | |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2024-03-22 |