| NPI | 1114595634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0903002398) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904013001) |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2023-08-15 |