| NPI | 1790183713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904009376) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 58149) |
| 1041C0700X Social Worker Clinical (Licence: NC C009544) | |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2018-10-17 |