| NPI | 1790343168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC P013443) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NC C014143) |
| Enumeration Date | 2019-05-31 |
| Last Update Date | 2026-04-14 |