| NPI | 1053052670 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00946022) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 18014) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2025-10-08 |