| NPI | 1013411446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 11515) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C10437) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904016157) | |
| 1041C0700X Social Worker, Clinical (Licence: LA 11515) | |
| Enumeration Date | 2018-03-20 |
| Last Update Date | 2026-04-14 |