| NPI | 1801279864 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007735) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 3829) |
| Enumeration Date | 2015-07-08 |
| Last Update Date | 2024-09-23 |