| NPI | 1598701245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904006325) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW11621) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2024-03-18 |