| NPI | 1770354995 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18483) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904016032) |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-01-16 |