| NPI | 1922576099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010214) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA licsw121767) |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2024-01-15 |