| NPI | 1376330092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AK 236626) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NJ 44SL06940600) |
| Enumeration Date | 2025-04-24 |
| Last Update Date | 2025-04-24 |