| NPI | 1801497037 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904012155) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW007381) |
| 1041C0700X Social Worker, Clinical (Licence: MA 122431) | |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2020-11-06 |