| NPI | 1811504897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015271) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 26085) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2026-04-27 |