| NPI | 1508349655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: DC 50079591) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: OR L17859) |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2026-06-25 |