| NPI | 1730779596 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: VA PPS-0609108) | 
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904012595) | 
| Enumeration Date | 2021-01-25 | 
| Last Update Date | 2025-10-09 |