| NPI | 1053131722 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 6935) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IA 115731) |
| 104100000X Social Worker (Licence: SD 2394) | |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2025-10-09 |