| NPI | 1316698624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 8911149) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L17498) |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2026-03-24 |