| NPI | 1316341993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: LA 10388) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 105605) |
| Enumeration Date | 2014-10-10 |
| Last Update Date | 2025-10-09 |