| NPI | 1417593385 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904013447) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: VA PPS-0606463) |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2024-10-30 |