| NPI | 1073335352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904017581) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 32827) |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2025-09-04 |