| NPI | 1679346589 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C018779) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: FL 24883) |
| 1041C0700X Social Worker, Clinical (Licence: SC 18170) | |
| Enumeration Date | 2023-11-02 |
| Last Update Date | 2026-02-17 |