| NPI | 1659006252 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 28555) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904017902) |
| Enumeration Date | 2022-07-19 |
| Last Update Date | 2026-02-05 |