| NPI | 1235977174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: CT 3760) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 25676) |
| Enumeration Date | 2024-07-16 |
| Last Update Date | 2026-01-10 |