| NPI | 1679957476 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904012975) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KY 253873) |
| 1041C0700X Social Worker Clinical (Licence: NC P009769) | |
| 1041C0700X Social Worker Clinical (Licence: DC LC200002037) | |
| Enumeration Date | 2015-07-13 |
| Last Update Date | 2024-08-11 |