| NPI | 1144972753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 8861841) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 23064) |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2025-10-14 |