| NPI | 1316233075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904008273) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: PA CW017322) |
| 251S00000X Community/Behavioral Health (Licence: VA 11897-02-036) | |
| Enumeration Date | 2011-06-21 |
| Last Update Date | 2025-11-10 |