| NPI | 1639128853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 4713) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904006145) |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2022-06-01 |