| NPI | 1053371112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 002894) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 32693) |
| Enumeration Date | 2006-03-24 |
| Last Update Date | 2026-06-19 |