| NPI | 1114654985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P017976) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C018202) |
| Enumeration Date | 2022-08-02 |
| Last Update Date | 2026-03-12 |