| NPI | 1679003990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 39871) |
| Additional Taxonomies | 104100000X Social Worker (Licence: ID 36796) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2025-03-04 |