| NPI | 1225865272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 09661) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904001283) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2024-09-16 |