| NPI | 1164141172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 7044) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SD 6053) |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2026-10-08 |