| NPI | 1932539681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WA LW60765277) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904008972) |
| 1041C0700X Social Worker, Clinical (Licence: NY 077840) | |
| Enumeration Date | 2013-11-16 |
| Last Update Date | 2022-01-03 |