| NPI | 1841766292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010501) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC 007932) |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |