| NPI | 1942663984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904006833) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C004098) |
| Enumeration Date | 2016-03-29 |
| Last Update Date | 2021-12-30 |