| NPI | 1861532566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015954) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: GA CSW0003615) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904006723) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2024-05-10 |