| NPI | 1639861719 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MD 28447) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 1141119) |
| Enumeration Date | 2023-05-25 |
| Last Update Date | 2026-07-16 |