| NPI | 1770987778 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008426) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0904008426) |
| Enumeration Date | 2014-10-20 |
| Last Update Date | 2024-02-01 |