| NPI | 1376037655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C012852) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904012643) |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2021-01-27 |