| NPI | 1891650081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV BP00947351) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0903003042) |
| Enumeration Date | 2025-12-19 |
| Last Update Date | 2025-12-19 |