| NPI | 1508316282 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009261) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 11589) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2018-08-20 |