| NPI | 1740960764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 104100000X Social Worker (Licence: WA SC61462578) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NJ 44SL06955900) |
| Enumeration Date | 2023-07-24 |
| Last Update Date | 2025-11-11 |