| NPI | 1407926892 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904002590) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL TPSW2693) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC22128) | |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2023-04-13 |