| NPI | 1720274384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904017301) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2025-03-11 |