| NPI | 1154882801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014764) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW13397) |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2024-03-28 |