| NPI | 1043073919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 18654) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 6865C) |
| 1041C0700X Social Worker, Clinical (Licence: NC C020166) | |
| Enumeration Date | 2024-02-02 |
| Last Update Date | 2026-06-10 |