| NPI | 1073240552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014319) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: VA 0904014319) |
| 1041C0700X Social Worker, Clinical (Licence: NC C016619) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC20002551) | |
| Enumeration Date | 2022-08-04 |
| Last Update Date | 2024-06-17 |