| NPI | 1710604285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: MS C10481) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: TN 6819) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2025-09-19 |