| NPI | 1578101358 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 24669) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 904019628) |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2026-02-10 |