| NPI | 1508477746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011324) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: HI 4459) |
| 1041S0200X Social Worker, School | |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2023-04-24 |