| NPI | 1962933408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904012664) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL ISW11497) |
| 1041C0700X Social Worker, Clinical (Licence: FL SW17666) | |
| Enumeration Date | 2017-03-26 |
| Last Update Date | 2022-07-18 |