| NPI | 1669616918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00942559) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV CP00942559) |
| Enumeration Date | 2009-04-29 |
| Last Update Date | 2021-04-23 |