| NPI | 1407266620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014864) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MO 2019047382) |
| Enumeration Date | 2014-04-28 |
| Last Update Date | 2023-04-17 |