| NPI | 1124341417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C000259) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904018012) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2025-04-21 |