| NPI | 1477007482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012763) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904012335) |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2024-02-02 |