| NPI | 1023476439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009698) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 19383) |
| 1041C0700X Social Worker, Clinical (Licence: MD 19383) | |
| Enumeration Date | 2016-02-01 |
| Last Update Date | 2020-12-21 |