| NPI | 1376225524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P021885) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SC 18330) |
| 104100000X Social Worker (Licence: NC B001228) | |
| 104100000X Social Worker (Licence: TX 111116) | |
| 104100000X Social Worker (Licence: GA MSW012443) | |
| Enumeration Date | 2023-08-07 |
| Last Update Date | 2026-02-12 |