| NPI | 1124609284 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014771) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904014555) |
| Enumeration Date | 2021-04-19 |
| Last Update Date | 2024-11-25 |