| NPI | 1619537149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC 200003136) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904017102) |
| Enumeration Date | 2019-06-17 |
| Last Update Date | 2024-08-14 |