| NPI | 1427404599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010532) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 17963) |
| 1041C0700X Social Worker, Clinical (Licence: OR L14171) | |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2023-07-21 |