| NPI | 1770227712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904018591) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 13490) |
| 1041C0700X Social Worker, Clinical (Licence: SC 17592) | |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2025-09-10 |