| NPI | 1942743885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: OK 7868) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VT 089.0116605) |
| Enumeration Date | 2016-11-26 |
| Last Update Date | 2023-04-13 |