| NPI | 1467105353 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 06479) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0011963) |
| 1041C0700X Social Worker, Clinical (Licence: WV DP00945983) | |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-01-31 |