| NPI | 1992040141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: LA 6413) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904019485) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2026-04-30 |