| NPI | 1720787021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: VA 0903002419) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904018433) |
| Enumeration Date | 2023-02-27 |
| Last Update Date | 2025-08-05 |