| NPI | 1326594136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 4112) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NE 6316) |
| 1041C0700X Social Worker, Clinical (Licence: NE 2520) | |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2025-05-16 |