| NPI | 1174064232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: VA PPS-567827) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MD 10518) |
| 1041C0700X Social Worker, Clinical (Licence: MD 10518) | |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2026-04-24 |