| NPI | 1619226743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 9485-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 69212) |
| 1041C0700X Social Worker, Clinical (Licence: VT 089.0134700) | |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2023-06-02 |