| NPI | 1033398003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014396) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WA SC61177195) |
| 1041C0700X Social Worker, Clinical (Licence: CT 12104) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 121504) | |
| 305S00000X Point of Service (Licence: VA 112160) | |
| Enumeration Date | 2007-10-26 |
| Last Update Date | 2022-12-10 |