| NPI | 1487029773 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: NC P107332) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P107332) |
| 104100000X Social Worker (Licence: TN 10000) | |
| 104100000X Social Worker (Licence: SC 16750) | |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2025-11-18 |