| NPI | 1043331473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00943350) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C004349) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2024-07-02 |