| NPI | 1821870049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015004) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: VA 0904015004) |
| 171M00000X Case Manager/Care Coordinator (Licence: VA 0904015004) | |
| Enumeration Date | 2023-10-23 |
| Last Update Date | 2023-10-23 |