| NPI | 1104440577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC 41114059) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904010538) |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2020-06-12 |