| NPI | 1558971549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015908) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C011980) |
| Enumeration Date | 2020-08-04 |
| Last Update Date | 2025-04-02 |