| NPI | 1154513802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C004301) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 2190) |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2026-05-02 |