| NPI | 1225562952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904019782) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 125280) |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2026-07-23 |