| NPI | 1528368214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009292) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P005711) |
| Enumeration Date | 2010-10-27 |
| Last Update Date | 2024-01-30 |