| NPI | 1518544824 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WV BP00943968) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WV DP00943968) |
| Enumeration Date | 2021-03-24 |
| Last Update Date | 2025-05-09 |