| NPI | 1346729522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 092566) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P012823) |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2025-01-22 |