| NPI | 1811677636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904015578) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C016370) |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2026-05-14 |