| NPI | 1235324443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015176) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 117563) |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2023-12-28 |