| NPI | 1912603556 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014869) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200002245) |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-21 |