| NPI | 1790671758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0903004754) |
| Additional Taxonomies | 104100000X Social Worker (Licence: 0903004754) |
| Enumeration Date | 2025-06-16 |
| Last Update Date | 2026-04-21 |