| NPI | 1285000604 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009527) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 31288) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34011176A) | |
| Enumeration Date | 2015-08-19 |
| Last Update Date | 2025-06-30 |