| NPI | 1639335722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NH 1951) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 2008012291) |
| 1041C0700X Social Worker Clinical (Licence: VA 0904003817) | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2021-03-19 |