| NPI | 1659794683 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC c010092) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904015442) |
| Enumeration Date | 2014-01-27 |
| Last Update Date | 2024-02-21 |