| NPI | 1609660240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KS 14064) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: VA 0903004463) |
| 1041C0700X Social Worker Clinical (Licence: NJ 44SL07137500) | |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-04-08 |