| NPI | 1649949496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C018292) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P016474) |
| Enumeration Date | 2021-09-07 |
| Last Update Date | 2026-04-08 |