| NPI | 1053874677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012032) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904010864) |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2020-12-22 |