| NPI | 1932606035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904010414) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW14736) |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-04-06 |