| NPI | 1164259073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015192) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200003411) |
| Enumeration Date | 2024-09-16 |
| Last Update Date | 2025-04-30 |