| NPI | 1508447657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: VA PROV-0664950) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 64496) |
| 1041C0700X Social Worker, Clinical (Licence: PA CW017589) | |
| Enumeration Date | 2021-04-20 |
| Last Update Date | 2025-11-12 |