| NPI | 1679912836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C009869) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P007609) |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2025-09-17 |