| NPI | 1265004378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 231795) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: ID 41032) |
| 1041C0700X Social Worker, Clinical (Licence: FL 18341) | |
| Enumeration Date | 2021-07-16 |
| Last Update Date | 2025-08-12 |