| NPI | 1578138764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C018772) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P015787) |
| Enumeration Date | 2021-05-21 |
| Last Update Date | 2025-11-24 |