| NPI | 1699182493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008674) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 14140) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |