| NPI | 1275632119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008406) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW003540) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-12-05 |