| NPI | 1710556493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: FL SW20655) |
| Additional Taxonomies | 104100000X Social Worker (Licence: NM SWB-2024-1226) |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2025-05-27 |