| NPI | 1760880959 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C014975) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CT 8874) |
| Enumeration Date | 2014-12-20 |
| Last Update Date | 2025-04-29 |