| NPI | 1831870294 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27374) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904018657) |
| Enumeration Date | 2023-07-28 |
| Last Update Date | 2025-06-24 |