| NPI | 1417616582 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015054) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW22827) |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2025-10-29 |