| NPI | 1366979130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AL 5693C) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: FL 17124) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2025-08-27 |