| NPI | 1376608653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904009596) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 24269) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2025-07-24 |