| NPI | 1184169765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW005926) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904009791) |
| 1041C0700X Social Worker, Clinical (Licence: MD 30183) | |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2025-12-01 |