| NPI | 1609503887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904012788) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MO 2021005110) |
| 1041C0700X Social Worker Clinical (Licence: VA 2021005110) | |
| Enumeration Date | 2022-08-06 |
| Last Update Date | 2022-08-06 |