| NPI | 1336188655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015618) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 62650) |
| 104100000X Social Worker (Licence: KY 4948) | |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2024-06-26 |