| NPI | 1972731503 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: WV BP00943391) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2025-05-21 |