| NPI | 1962693929 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904007652) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW9816) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2024-04-15 |