| NPI | 1144902669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904017248) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0906014375) |
| 1041C0700X Social Worker, Clinical | |
| 1041C0700X Social Worker, Clinical (Licence: VA 0906012227) | |
| Enumeration Date | 2023-08-03 |
| Last Update Date | 2024-08-20 |