| NPI | 1518243682 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904009544) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2024-03-28 |