| NPI | 1356955785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010005) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 19978) |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-04 |