| NPI | 1851819783 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904012986) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MD A00798) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2022-11-22 |