| NPI | 1225634355 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C018664) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW24595) |
| Enumeration Date | 2020-12-04 |
| Last Update Date | 2026-05-07 |