| NPI | 1235902891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015959) |
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: VA PPS-0607246) |
| Enumeration Date | 2023-11-03 |
| Last Update Date | 2024-05-10 |