| NPI | 1396526877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA VA0904013747) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C015407) |
| Enumeration Date | 2023-10-10 |
| Last Update Date | 2023-10-10 |