| NPI | 1306508148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C017005) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW24649) |
| Enumeration Date | 2021-10-08 |
| Last Update Date | 2025-08-12 |