| NPI | 1619515996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: GA CSW009438) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM M-11007) |
| 1041S0200X Social Worker, School (Licence: NM M-11007) | |
| 1041C0700X Social Worker, Clinical (Licence: NM SWB-2024-0306) | |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2025-10-15 |