| NPI | 1619588142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C013848) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904011534) |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2022-05-12 |