| NPI | 1710358452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: NM I.2102552) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM I.2102552) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2025-03-10 |