| NPI | 1609340611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010863) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C012093) |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2024-02-11 |