| NPI | 1306090287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006924) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 5069) |
| Enumeration Date | 2008-11-05 |
| Last Update Date | 2023-10-17 |