| NPI | 1972805125 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041S0200X Social Worker, School (Licence: VA PPS-0602475) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007469) |
| Enumeration Date | 2010-11-20 |
| Last Update Date | 2025-11-12 |