| NPI | 1932332558 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00946696) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 11389) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC17901) | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904011887) | |
| Enumeration Date | 2009-08-30 |
| Last Update Date | 2024-07-18 |