| NPI | 1609312701 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00945031) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 22318) |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2019-12-11 |