| NPI | 1750908497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SC 15668) |
| Additional Taxonomies | 104100000X Social Worker (Licence: MD 25921) |
| 104100000X Social Worker (Licence: SC 14144) | |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2025-09-16 |