| NPI | 1699220319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 7978) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904014159) | |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2022-07-18 |