| NPI | 1194577064 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C018111) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 27489) |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2025-02-25 |