| NPI | 1134663693 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 20061) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 20061) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904013618) | |
| Enumeration Date | 2016-12-16 |
| Last Update Date | 2025-04-03 |