| NPI | 1790306439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904013031) |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2023-05-25 |