| NPI | 1306257316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 14213) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: DE Q1-0012254) |
| Enumeration Date | 2014-05-13 |
| Last Update Date | 2025-03-11 |