| NPI | 1326583451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WV DP00946256) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 14101) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2022-09-30 |