| NPI | 1790317717 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00945074) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV BP00945074) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2022-08-25 |