| NPI | 1730373143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006911) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0904006911) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2024-10-21 |