| NPI | 1982895520 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009825) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 114120) |
| Enumeration Date | 2007-08-08 |
| Last Update Date | 2023-05-04 |