| NPI | 1356922785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014490) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P013715) |
| Enumeration Date | 2021-04-17 |
| Last Update Date | 2026-05-29 |