| NPI | 1417599911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P017181) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014145) |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2025-04-28 |