| NPI | 1053289306 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27518) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DC 200004501) |
| Enumeration Date | 2025-10-28 |
| Last Update Date | 2026-03-05 |