| NPI | 1417604331 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C11725) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AL 6518C) |
| Enumeration Date | 2022-03-10 |
| Last Update Date | 2025-10-16 |