| NPI | 1295493153 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NC C016338) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: MD 24832) |
| 1041C0700X Social Worker Clinical (Licence: NC P016990) | |
| 1041C0700X Social Worker Clinical (Licence: FL SW23590) | |
| Enumeration Date | 2021-12-07 |
| Last Update Date | 2025-08-08 |