| NPI | 1295246452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00945114) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV BP00945114) |
| Enumeration Date | 2017-10-16 |
| Last Update Date | 2021-03-19 |