| NPI | 1902562259 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0906011024) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2021-11-11 |
| Last Update Date | 2023-07-27 |