| NPI | 1306176599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011334) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904007244) |
| Enumeration Date | 2010-01-11 |
| Last Update Date | 2025-06-23 |