| NPI | 1013389378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 19984) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 123171) |
| Enumeration Date | 2015-10-27 |
| Last Update Date | 2025-12-08 |