| NPI | 1215609441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904012547) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C014220) |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2021-10-05 |