| NPI | 1497165328 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009996) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MS C10889) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2025-12-10 |