| NPI | 1396195467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P010636) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: NC C011538) | |
| 1041C0700X Social Worker, Clinical (Licence: TN 10278) | |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2026-03-19 |