| NPI | 1306352000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WV DP00947267) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 15728) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2025-08-06 |