| NPI | 1902794936 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00946442) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC LC200004167) |
| Enumeration Date | 2025-06-26 |
| Last Update Date | 2025-08-05 |