| NPI | 1811144579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011410) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 115901) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2020-05-09 |