| NPI | 1609412360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014366) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 24024) |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2025-07-22 |