| NPI | 1740948868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WI 131898121) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: WI 12813-123) |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2026-03-28 |