| NPI | 1093530032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW26556) |
| Additional Taxonomies | 104100000X Social Worker (Licence: GA MSW011833) |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2026-06-16 |