| NPI | 1205607868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904020763) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0906015119) |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2026-07-31 |