| NPI | 1164165502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904013738) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C014883) |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2025-09-04 |