| NPI | 1750397469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010696) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW003296) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2021-10-04 |