| NPI | 1730924952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 16778) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: LA 19734) |
| 1041C0700X Social Worker, Clinical (Licence: MS C12016) | |
| 1041C0700X Social Worker, Clinical (Licence: GA CSW010305) | |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2026-06-15 |