| NPI | 1558245514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0903004627) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 115777) |
| 104100000X Social Worker (Licence: NY 132161) | |
| Enumeration Date | 2025-08-04 |
| Last Update Date | 2026-07-07 |