| NPI | 1831634823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: ID 3181609) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: ID OTA-1639) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2026-04-02 |