| NPI | 1427364124 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904009088) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NC C006937) |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2022-06-17 |