| NPI | 1356840367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VT 089.0132140) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: GA CSW008648) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2023-11-15 |