| NPI | 1689791089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW10348) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TX 105488) |
| 1041C0700X Social Worker, Clinical (Licence: ME LC16414) | |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2026-05-01 |