| NPI | 1861411589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904004211) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0904004211) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2024-09-18 |