| NPI | 1538697503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NV 8750-C) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P011554) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904011489) | |
| Enumeration Date | 2017-06-02 |
| Last Update Date | 2020-05-14 |