| NPI | 1720706963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C018230) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P017721) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2025-03-17 |