| NPI | 1528825973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 18150) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: WI 11734-123) | |
| Enumeration Date | 2024-03-04 |
| Last Update Date | 2025-09-07 |