| NPI | 1770965998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014173) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KS 4872) |
| 1041C0700X Social Worker, Clinical (Licence: CA 88443) | |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2023-06-03 |