| NPI | 1669865523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: VA 0904008879) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 06664) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2025-02-12 |