| NPI | 1497029011 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007871) |
| Additional Taxonomies | 133V00000X Dietitian, Registered (Licence: VA 00664356) |
| Enumeration Date | 2012-02-29 |
| Last Update Date | 2022-10-22 |