| NPI | 1396213757 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P022813) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 229679) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2025-08-19 |