| NPI | 1851140610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C020115) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904019774) |
| Enumeration Date | 2024-05-15 |
| Last Update Date | 2026-09-04 |