| NPI | 1083084289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 13969) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904016320) |
| 104100000X Social Worker | |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2024-04-21 |