| NPI | 1124709068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C020093) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P019182) |
| Enumeration Date | 2023-07-25 |
| Last Update Date | 2026-05-21 |