| NPI | 1275249146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010848) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 4055C) |
| Enumeration Date | 2023-01-25 |
| Last Update Date | 2023-01-25 |