| NPI | 1083911945 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C010051) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06209900) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904015173) | |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2023-05-02 |