| NPI | 1942742838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010644) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 37903) |
| Enumeration Date | 2016-11-09 |
| Last Update Date | 2018-08-30 |