| NPI | 1205575941 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 8911022) | 
| Additional Taxonomies | 104100000X Social Worker (Licence: ID LMSW-42261) | 
| Enumeration Date | 2022-06-01 | 
| Last Update Date | 2025-05-20 |