| NPI | 1407546260 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C018687) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P018059) |
| 1041C0700X Social Worker, Clinical (Licence: SC 1409) | |
| 1041C0700X Social Worker, Clinical (Licence: FL TPSW5732) | |
| Enumeration Date | 2023-05-15 |
| Last Update Date | 2025-07-23 |