| NPI | 1205653326 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904018355) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0903003055) |
| Enumeration Date | 2024-09-20 |
| Last Update Date | 2025-04-30 |