| NPI | 1659066488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IA 138744) |
| Additional Taxonomies | 104100000X Social Worker (Licence: SD 6920) |
| Enumeration Date | 2023-04-07 |
| Last Update Date | 2026-05-04 |