| NPI | 1891940268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904016893) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114814) |
| Enumeration Date | 2008-11-26 |
| Last Update Date | 2025-06-09 |