| NPI | 1215240825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008779) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2010-07-24 |
| Last Update Date | 2024-06-13 |