| NPI | 1063800621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AL 5335C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904015294) |
| Enumeration Date | 2015-01-06 |
| Last Update Date | 2023-09-26 |