| NPI | 1124353149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008914) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 15079) |
| 1041C0700X Social Worker, Clinical (Licence: WV DP00946127) | |
| 1041C0700X Social Worker, Clinical (Licence: CT 011923) | |
| Enumeration Date | 2009-10-08 |
| Last Update Date | 2024-08-16 |