| NPI | 1003402991 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904014414) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 30315) |
| 1041C0700X Social Worker Clinical (Licence: DC LC200001879) | |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2023-10-26 |