| NPI | 1376086819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00944718) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904018584) |
| Enumeration Date | 2016-12-01 |
| Last Update Date | 2025-10-02 |