| NPI | 1790493971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904017844) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0906013126) |
| Enumeration Date | 2022-11-07 |
| Last Update Date | 2025-04-15 |