| 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 |