| NPI | 1164927448 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18783) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904010387) |
| Enumeration Date | 2018-03-28 |
| Last Update Date | 2019-02-25 |