| NPI | 1407490964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 09104015050) |
| Additional Taxonomies | 104100000X Social Worker (Licence: PA 123493) |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2023-05-19 |