| NPI | 1639770597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011086) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 81098) |
| Enumeration Date | 2020-11-05 |
| Last Update Date | 2020-11-05 |