| NPI | 1669290813 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C11253)  | 
| Additional Taxonomies | 1041S0200X Social Worker, School (Licence: MS C11253)  | 
| Enumeration Date | 2024-09-27 | 
| Last Update Date | 2024-09-27 |