| NPI | 1902421183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00945680) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV CP00945680) |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2025-09-29 |