| NPI | 1801411707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904013278) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C012955) |
| Enumeration Date | 2020-06-16 |
| Last Update Date | 2023-03-14 |