| NPI | 1801352620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21255) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904012698) |
| Enumeration Date | 2019-02-17 |
| Last Update Date | 2021-05-02 |