| NPI | 1669030433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011044) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0903002435) |
| Enumeration Date | 2019-06-05 |
| Last Update Date | 2023-02-07 |