| NPI | 1619611068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011526) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0903002846) |
| Enumeration Date | 2022-04-22 |
| Last Update Date | 2023-11-22 |