| NPI | 1649872235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0903003104) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904015226) |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2023-06-05 |