| NPI | 1235867474 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 12593) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 126559) |
| Enumeration Date | 2022-08-14 |
| Last Update Date | 2025-11-12 |