| NPI | 1881092211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008805) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 7680) |
| 1041C0700X Social Worker, Clinical (Licence: SD 6094) | |
| Enumeration Date | 2014-12-17 |
| Last Update Date | 2021-11-15 |