| NPI | 1285344515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904018505) |
| Additional Taxonomies | 101Y00000X Counselor |
| 1041C0700X Social Worker, Clinical (Licence: FL SW20698) | |
| 1041C0700X Social Worker, Clinical (Licence: AL 5330C) | |
| Enumeration Date | 2022-11-28 |
| Last Update Date | 2025-08-20 |