| NPI | 1588723050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006764) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 112105) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2020-01-16 |