| NPI | 1710391578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010744) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C011750) |
| Enumeration Date | 2014-06-19 |
| Last Update Date | 2020-03-20 |