| NPI | 1508587411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 6387) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MT 72636) |
| 104100000X Social Worker (Licence: TX 69111) | |
| 1041C0700X Social Worker, Clinical (Licence: MN 31888) | |
| Enumeration Date | 2022-09-08 |
| Last Update Date | 2026-08-12 |