| NPI | 1861130361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904017261) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV TH00947288) |
| 1041C0700X Social Worker, Clinical (Licence: TN 9569) | |
| Enumeration Date | 2022-05-24 |
| Last Update Date | 2026-04-24 |