| NPI | 1639504293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW14791) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: VT 089.0115989) | |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2021-12-28 |