| NPI | 1578105508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: WI 11467-123) |
| Additional Taxonomies | 104100000X Social Worker (Licence: WI 131677-121) |
| Enumeration Date | 2019-10-10 |
| Last Update Date | 2025-12-29 |