| NPI | 1699402644 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 11955-C) |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical (Licence: CO CSW.09931478) | |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2025-04-04 |