| NPI | 1104265321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C017661) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC 043713348) |
| Enumeration Date | 2013-06-20 |
| Last Update Date | 2026-05-08 |