| NPI | 1952731960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904009572) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL SW13377) |
| Enumeration Date | 2013-11-13 |
| Last Update Date | 2023-11-06 |