| NPI | 1467184796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C020137) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P017724) |
| Enumeration Date | 2022-06-27 |
| Last Update Date | 2026-06-16 |