| NPI | 1477071611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NM C-11743) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM X10178) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2025-05-29 |