| NPI | 1871214890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904016199) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0906009250) |
| Enumeration Date | 2022-09-07 |
| Last Update Date | 2025-04-18 |