| NPI | 1669934618 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014557) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904015083) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2023-06-05 |