| NPI | 1528787926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 12507-123) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 134035-121) |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2025-08-14 |