| NPI | 1659966943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ND 5552) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ND 5552) |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2026-06-22 |