| NPI | 1407244700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: VA 0904006134) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC303101) |
| 1041C0700X Social Worker, Clinical (Licence: MD 10164) | |
| Enumeration Date | 2015-01-08 |
| Last Update Date | 2025-11-19 |