| 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: MA 125361) |
| 1041C0700X Social Worker, Clinical (Licence: NC C014220) | |
| Enumeration Date | 2021-10-05 |
| Last Update Date | 2024-07-15 |