| NPI | 1184901902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C012876) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 13496) |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2025-12-17 |