| NPI | 1205162179 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00946295) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904006652) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2023-04-24 |