| NPI | 1649872235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: VA 0904015226) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0903003104) |
| 1041C0700X Social Worker Clinical (Licence: VA 0904025226) | |
| Enumeration Date | 2020-11-10 |
| Last Update Date | 2025-07-29 |