| NPI | 1770888521 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00945838) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 16026) |
| Enumeration Date | 2011-01-25 |
| Last Update Date | 2021-08-18 |