| NPI | 1255784435 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904013275) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 221042) |
| Enumeration Date | 2016-07-22 |
| Last Update Date | 2023-03-26 |