| NPI | 1629823364 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 259997) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34012459A) |
| Enumeration Date | 2024-04-17 |
| Last Update Date | 2026-01-02 |