| NPI | 1780761072 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 904004891) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904004891) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-21 |