| NPI | 1750666152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 256419) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904008413) |
| 1041C0700X Social Worker, Clinical (Licence: TN 5837) | |
| 1041C0700X Social Worker, Clinical (Licence: DC LC50081103) | |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2023-01-10 |