| NPI | 1770975344 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904013122) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0903001948) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW019915) | |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2021-08-02 |