| NPI | 1376051375 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009068) |
| Additional Taxonomies | 1041S0200X Social Worker, School |
| Enumeration Date | 2018-01-12 |
| Last Update Date | 2018-12-20 |