| NPI | 1518518729 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C013704) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904011266) |
| Enumeration Date | 2019-09-28 |
| Last Update Date | 2025-08-26 |