| NPI | 1285257253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00944764) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV BP00944764) |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2023-07-17 |