| NPI | 1467014787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: VA PPS-0608660) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P013529) |
| Enumeration Date | 2019-07-08 |
| Last Update Date | 2025-10-08 |