| NPI | 1669152146 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C018598) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P016862) |
| Enumeration Date | 2023-07-20 |
| Last Update Date | 2025-11-11 |