| NPI | 1518480706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: AK 230116) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NY 080896) |
| Enumeration Date | 2017-07-20 |
| Last Update Date | 2025-07-01 |