| NPI | 1972320323 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0906015399) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0903004147) |
| Enumeration Date | 2024-09-25 |
| Last Update Date | 2024-09-25 |