| NPI | 1457702771 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 28331) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904017394) |
| Enumeration Date | 2016-06-28 |
| Last Update Date | 2024-09-17 |