| NPI | 1104436062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 8861355) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-39736) |
| Enumeration Date | 2020-08-05 |
| Last Update Date | 2025-03-31 |