| NPI | 1902581044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20880) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA LICSW1143356) |
| 1041C0700X Social Worker, Clinical (Licence: VA 0904019820) | |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2026-06-01 |