| NPI | 1366950883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014087) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 23543) |
| Enumeration Date | 2018-01-18 |
| Last Update Date | 2025-09-03 |