| NPI | 1265156244 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00943919) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 29522) | 
| Enumeration Date | 2022-10-03 | 
| Last Update Date | 2025-10-13 |