| NPI | 1932213238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27119) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007221) |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2024-03-11 |