| NPI | 1215667381 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ 23069) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 8911276) |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2025-10-14 |