| NPI | 1568195287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 24751) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C018457) |
| Enumeration Date | 2022-07-09 |
| Last Update Date | 2025-09-02 |