| NPI | 1134625809 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 14348) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 10298) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2026-07-06 |