| NPI | 1649083528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 6421) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL SW19891) |
| Enumeration Date | 2025-01-27 |
| Last Update Date | 2025-01-27 |