| NPI | 1588094981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 15127) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW22682) |
| Enumeration Date | 2013-11-21 |
| Last Update Date | 2026-02-26 |