| NPI | 1063831238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010657) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MA 218977) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2023-01-12 |