| NPI | 1659941755 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: VA 0906011240) |
| Additional Taxonomies | 251B00000X Case Management (Licence: VA 0733003450) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0906011240) | |
| Enumeration Date | 2021-06-30 |
| Last Update Date | 2021-06-30 |