| NPI | 1912675208 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904013246) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV DP00947027) |
| Enumeration Date | 2021-09-01 |
| Last Update Date | 2025-04-24 |