| NPI | 1336704188 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00944980) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV BP00944980) |
| Enumeration Date | 2019-05-07 |
| Last Update Date | 2019-07-16 |