| NPI | 1912680745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904015636) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-09-19 |