| NPI | 1932757598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904014710) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 42437) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2025-09-12 |