| NPI | 1114535960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NM M-11548) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: NM M-11548) |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2025-02-10 |