| NPI | 1487013132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00945479) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 1967C) |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2021-02-22 |