| NPI | 1568010551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015376) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW21170) |
| Enumeration Date | 2019-09-03 |
| Last Update Date | 2024-01-17 |