| NPI | 1689122475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 28402-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: LA 11735) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2026-03-27 |