| NPI | 1215804356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AZ LCSW-22877) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KS 7833) |
| 104100000X Social Worker (Licence: MO 2019027239) | |
| Enumeration Date | 2025-10-22 |
| Last Update Date | 2025-10-22 |