| NPI | 1427696913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 10035-123) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-12-15 |
| Last Update Date | 2025-10-18 |