| NPI | 1285302877 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 24262) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C016190) |
| 1041C0700X Social Worker, Clinical (Licence: WV DP00945675) | |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2024-04-05 |