| NPI | 1760153688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: AR 27892-C) |
| Additional Taxonomies | 104100000X Social Worker (Licence: TX 104632) |
| 1041C0700X Social Worker, Clinical (Licence: KY 260238) | |
| Enumeration Date | 2021-09-21 |
| Last Update Date | 2026-03-17 |