| NPI | 1902148299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: VA PPS-0602808) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904008183) |
| Enumeration Date | 2013-03-25 |
| Last Update Date | 2025-10-08 |