| NPI | 1215640115 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904016397) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0906009868) |
| Enumeration Date | 2023-01-05 |
| Last Update Date | 2024-02-21 |