| NPI | 1285270181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 172300) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT BBH-LCSW-LIC-79693) |
| 1041C0700X Social Worker, Clinical (Licence: PA SW136293) | |
| Enumeration Date | 2019-11-26 |
| Last Update Date | 2025-06-10 |