| NPI | 1790199073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C005376) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SC 5552) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2026-02-27 |