| NPI | 1093214538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20749) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904005656) |
| Enumeration Date | 2018-02-11 |
| Last Update Date | 2018-10-02 |