| NPI | 1588035802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011214) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: VA 0904012197) |
| Enumeration Date | 2015-10-13 |
| Last Update Date | 2025-05-19 |