| NPI | 1952731481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006700) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: VA PPS-0603736) |
| Enumeration Date | 2013-11-19 |
| Last Update Date | 2019-12-12 |