| NPI | 1568183358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904019426) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200004531) |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2026-02-11 |