| NPI | 1477143089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015652) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 99304) |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2023-12-11 |