| NPI | 1033059852 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 35066) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904016798) |
| Enumeration Date | 2026-03-31 |
| Last Update Date | 2026-06-30 |