| NPI | 1093472672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 12777-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 132487-121) |
| Enumeration Date | 2021-11-18 |
| Last Update Date | 2026-02-27 |