| NPI | 1477103661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: TN 7160) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904010726) |
| Enumeration Date | 2019-09-19 |
| Last Update Date | 2020-06-04 |