| NPI | 1053097782 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C019242) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P019142) |
| Enumeration Date | 2023-06-27 |
| Last Update Date | 2025-11-19 |