| NPI | 1326871013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 135745121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P020858) |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2025-09-11 |