| NPI | 1497137269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 15840) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904008628) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2021-05-07 |