| NPI | 1356081012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904016517) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0906011428) |
| Enumeration Date | 2022-03-30 |
| Last Update Date | 2024-03-15 |