| NPI | 1285644609 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904003880) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 904003880) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2021-06-21 |