| NPI | 1770097388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: VA 0904016887) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C014237) |
| 1041C0700X Social Worker, Clinical (Licence: NC P012126) | |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2026-03-30 |