| NPI | 1467987974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904010339) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW12357) |
| 1041C0700X Social Worker Clinical (Licence: DC LC50080428) | |
| Enumeration Date | 2017-04-22 |
| Last Update Date | 2024-03-14 |