| NPI | 1164762076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904017046) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C-5832) |
| Enumeration Date | 2013-03-01 |
| Last Update Date | 2026-04-07 |