| NPI | 1225622111 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 21937) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C016432) |
| 1041C0700X Social Worker, Clinical (Licence: DC LC200002857) | |
| Enumeration Date | 2021-02-22 |
| Last Update Date | 2026-04-17 |