| NPI | 1992241707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 261QV0200X Clinic/Center, VA (Licence: CA 73933) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2021-10-05 |