| NPI | 1710536750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 254659) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904011173) |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2021-01-26 |