| NPI | 1538528484 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18558) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904009323) |
| Enumeration Date | 2016-02-21 |
| Last Update Date | 2023-10-31 |