| NPI | 1083288849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 21634) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO 09932059) |
| Enumeration Date | 2021-05-17 |
| Last Update Date | 2025-09-11 |