| NPI | 1700623873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: VA PPS-559558) |
| Additional Taxonomies | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2024-07-15 |
| Last Update Date | 2024-07-15 |