| NPI | 1255665477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006409) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904016839) |
| Enumeration Date | 2009-09-21 |
| Last Update Date | 2024-06-25 |