| NPI | 1538535497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 18012) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904016012) |
| Enumeration Date | 2015-08-14 |
| Last Update Date | 2025-11-24 |