| NPI | 1386061455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 17668) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904013416) |
| Enumeration Date | 2014-03-26 |
| Last Update Date | 2023-08-02 |