| NPI | 1811122286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00946919) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 13320) |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2025-03-24 |