| NPI | 1316628829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: VA 0903003824) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0906013351) |
| Enumeration Date | 2023-07-27 |
| Last Update Date | 2023-07-27 |