| NPI | 1740633668 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C011624) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC P010764) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2026-04-01 |