| NPI | 1477201135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID LCSW-43559) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID 39350) |
| Enumeration Date | 2022-03-12 |
| Last Update Date | 2026-01-06 |