| NPI | 1881117117 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21724) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904014946) | |
| Enumeration Date | 2017-07-19 |
| Last Update Date | 2023-03-05 |