| NPI | 1629706569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C018812) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MD 33694) |
| Enumeration Date | 2022-08-09 |
| Last Update Date | 2025-10-13 |