| NPI | 1720707540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904020217) |
| Additional Taxonomies | 104100000X Social Worker (Licence: VA 0903004725) |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2026-05-05 |