| NPI | 1104559293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: ID LCSW-43872) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-43872) |
| Enumeration Date | 2022-07-06 |
| Last Update Date | 2025-10-06 |