| NPI | 1962728352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007269) |
| 1041C0700X Social Worker, Clinical (Licence: NC C006756) | |
| Enumeration Date | 2010-04-11 |
| Last Update Date | 2023-08-25 |