| NPI | 1235644410 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014185) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011246) |
| Enumeration Date | 2017-12-09 |
| Last Update Date | 2022-08-10 |