| NPI | 1497953483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006582) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: VA PPS-0600408) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2022-05-19 |