| NPI | 1558846048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00945381) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904014775) |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2023-03-30 |