| NPI | 1376196998 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C018480) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P0139896) |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2025-07-02 |