| NPI | 1457048175 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 12984-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 132664-121) |
| 101YP2500X Counselor, Professional (Licence: WI 132664-121) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 132664-121) | |
| Enumeration Date | 2023-04-21 |
| Last Update Date | 2026-06-03 |