| NPI | 1871048686 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904012484) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TN lsw10868) |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2020-11-24 |