| NPI | 1417243155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00943882) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV SW051112434) |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2024-02-28 |