| NPI | 1255907325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 12845) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MN 30379) |
| Enumeration Date | 2021-05-31 |
| Last Update Date | 2026-07-31 |