| NPI | 1255671699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904018252) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW17167) |
| Enumeration Date | 2013-02-21 |
| Last Update Date | 2026-03-30 |