| NPI | 1396306940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 24840) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 24840) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2026-04-23 |