| NPI | 1881120640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011222) |
| Additional Taxonomies | 104100000X Social Worker (Licence: HI 2311) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2020-04-17 |