| NPI | 1760863021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010498) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 20065) |
| Enumeration Date | 2015-06-12 |
| Last Update Date | 2023-06-18 |