| NPI | 1164978292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: HI LCSW-4582) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 21873) |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2025-03-19 |