| NPI | 1386103620 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 17883) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM C-11763) |
| Enumeration Date | 2019-03-17 |
| Last Update Date | 2025-09-23 |