| NPI | 1679915052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009837) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C009786) |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2023-06-22 |