| NPI | 1023819984 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL ISW19342) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904020835) |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2026-08-06 |