| NPI | 1679105290 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: HI LCSW-5043) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904016211) |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2026-05-14 |