| NPI | 1124359757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WY 1243) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: WY 1243) |
| Enumeration Date | 2010-01-21 |
| Last Update Date | 2025-07-07 |