| NPI | 1861892887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904011332) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW12175) |
| Enumeration Date | 2014-08-27 |
| Last Update Date | 2024-12-10 |