| NPI | 1184139347 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 27889) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS M7869) |
| Enumeration Date | 2017-12-11 |
| Last Update Date | 2025-06-04 |