| NPI | 1497218994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904007737) |
| Additional Taxonomies | 1041S0200X Social Worker School |
| Enumeration Date | 2019-04-11 |
| Last Update Date | 2019-04-11 |