| NPI | 1912597048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW007702) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904012579) |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2021-01-22 |
| Last Update Date | 2026-07-10 |