| NPI | 1417206574 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904013782) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WV BP00943829) |
| Enumeration Date | 2012-09-05 |
| Last Update Date | 2025-08-08 |