| NPI | 1689286684 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: MD 26965) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0904018596) |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2025-07-09 |