| NPI | 1427670033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 3381420) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: AZ 22509) |
| Enumeration Date | 2020-05-18 |
| Last Update Date | 2026-08-24 |