| NPI | 1063082691 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW22604) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SC06583600) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904019075) | |
| Enumeration Date | 2021-06-27 |
| Last Update Date | 2026-04-03 |