| NPI | 1053021600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904017951) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0903003674) |
| Enumeration Date | 2022-12-05 |
| Last Update Date | 2025-02-28 |