| NPI | 1386828481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 33911) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904015076) |
| Enumeration Date | 2007-12-26 |
| Last Update Date | 2025-11-04 |