| NPI | 1780199760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904013429) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C009907) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2024-01-07 |