| NPI | 1669234407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015537) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0903002656) |
| Enumeration Date | 2024-01-26 |
| Last Update Date | 2024-01-26 |