| NPI | 1093386674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 233155) |
| Additional Taxonomies | 104100000X Social Worker (Licence: AK 172445) |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2025-05-20 |