| NPI | 1982257879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014157) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 108130) |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2019-07-19 |
| Last Update Date | 2022-07-21 |