| NPI | 1821157645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904014250) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: AZ 16200) |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2023-06-21 |