| NPI | 1174146567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 33019) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-43050) |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2025-05-29 |