| NPI | 1629427067 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014994) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P014427) |
| Enumeration Date | 2016-06-07 |
| Last Update Date | 2026-02-25 |