| NPI | 1902972722 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904002526) | 
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC LC302211) | 
| Enumeration Date | 2006-11-24 | 
| Last Update Date | 2025-09-11 |