| NPI | 1578014122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00946470) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AK 1217) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2024-11-18 |