| NPI | 1922756592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VI 2-27843-1B) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9439) |
| Enumeration Date | 2022-03-14 |
| Last Update Date | 2022-04-22 |