| NPI | 1104506658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C019848) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904020082) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2026-04-28 |