| NPI | 1871070169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: MD 17925) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904010595) |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2021-11-30 |