| NPI | 1609060110 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009418) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 125412) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2023-04-16 |