| NPI | 1700390895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015370) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C012199) |
| Enumeration Date | 2017-11-28 |
| Last Update Date | 2025-08-08 |