| NPI | 1649645813 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011471) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW10204) |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2021-01-19 |