| NPI | 1174249957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 8911152) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-42711) |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2025-05-08 |