| NPI | 1023676137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904016041) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW14175) |
| Enumeration Date | 2019-06-04 |
| Last Update Date | 2025-05-12 |