| NPI | 1417237033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: VA PPS-0609199) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007898) |
| 1041C0700X Social Worker, Clinical (Licence: TX 36102) | |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2025-10-10 |