| NPI | 1225603277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904008971) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 06912) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2021-05-21 |