| NPI | 1720108970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008279) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 5071) |
| 1041C0700X Social Worker, Clinical (Licence: NC C006837) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-01-03 |