| NPI | 1790524973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904016297) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34011398A) |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-09-09 |