| NPI | 1295448413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL 24779) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CO csw09931454) |
| 1041C0700X Social Worker, Clinical (Licence: UT 14237716-3501) | |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2026-01-29 |