| NPI | 1841948734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 3961975) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904017579) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2024-11-11 |